AVULSION injury to the finger tip.
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The variants of operative tactics and technique of early microsurgical autoplasty of the extensive crushed and scalped wounds of the digits and hand in 15 patients are presented. Three main groups of the sufferers were distinguished: with scalping of the I digit, with crushing of the digits and a skin defect of the butt-end of a hand stump, with totally scalped wounds of the hand and low third of the forearm. The advantages of the use of reversed flaps of the forearm with suture of a sensory nerve in limited defects, and free transplant of the greater omentum in extensive wounds are shown.
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A method of skin plasty of tissue defects on hands and fingers by skin flaps on feeding pedicle cut on the femur is described. Under conditions of the out-patient clinic the author has made operations on 12 patients with good results.
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